Robotic based health care system

ABSTRACT

A robotic system that can be used to treat a patient. The robotic system includes a mobile robot that has a camera. The mobile robot is controlled by a remote station that has a monitor. A physician can use the remote station to move the mobile robot into view of a patient. An image of the patient is transmitted from the robot camera to the remote station monitor. A medical personnel at the robot site can enter patient information into the system through a user interface. The patient information can be stored in a server. The physician can access the information from the remote station. The remote station may provide graphical user interfaces that display the patient information and provide both a medical tool and a patient management plan.

BACKGROUND OF THE INVENTION 1. Field of the Invention

The subject matter disclosed generally relates to the fields of healthcare and robotics.

2. Background Information

The increasing complexity of healthcare and resulting clinicalspecialization is causing fragmentation of care compromising patientsafety and hospital efficiency. There is the need for availability ofclinical specialist expertise to cut across time and space as well asthe need for standardization and dissemination of best practices andprotocols for optimal quality of care for citizens regardless of wherethey live.

The need for clinical specialist expertise is especially acute in thediagnosis, and treatment of stroke whereby immediate access to expertiseand interdisciplinary communication and collaboration is key. Stroke isthe second cause of death worldwide and the third leading cause of deathin the United States. Recent development of several new therapiesincluding tPA and neuro-endovascular procedures such as coiling offersreal hope to change the once bleak prognosis for stroke victims.However, these new therapies are not widely available. Nationally, fewerthan 5% of stroke victims are receiving any sort of treatment comparedwith leading stroke centers where approximately 25% of victims aretreated. Most community hospitals do not have the basic patientassessment capability in place on a 24/7 basis nor have they establishedthe appropriate ED treatment protocols. Additionally, only a very fewhospitals have the specialists on staff required for neuro-endovascularprocedures. Therefore stroke patients are either immediately transferredwithout proper evaluation or go untreated.

A major challenge in delivering stroke care relates to the time elementsof stroke. The adage “time is brain” is often heard. The challenge is toget the right expertise and treatment to the patient at the right time.This encompasses the entire continuum of care from emergency medicalservices and ambulance transport to evaluation in the ED and definitivetreatment. Some stroke care guidelines have been established by theNational Institute for Neurological Disorders and Stroke (NINDS). Forexample, the guidelines suggest getting a patient with symptoms ofstroke to stroke expertise (e.g. neurologist, stroke team activation)within fifteen minutes. The use of the word “expertise” here issignificant in that the expert need not be physically present next tothe patient but could be made available through a consult, for example,over the phone.

BRIEF SUMMARY OF THE INVENTION

A robotic system that includes a mobile robot that has a camera. Thesystem also includes a user interface that allows medical information tobe entered by a user. The mobile robot is coupled to a remote stationthat can control movement of the robot. The remote station includes amonitor that is coupled to the mobile robot camera and displays themedical information.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is an illustration of a robotic system;

FIG. 2 is a schematic of an electrical system of a robot;

FIG. 3 is a further schematic of the electrical system of the robot;

FIG. 4 is a graphical user interface of a user interface;

FIG. 5 is a graphical user interface at a remote station;

FIG. 6 is a graphical user interface at the remote station;

FIG. 7 is a graphical user interface when a NIHSS tab is selected;

FIG. 8 is a graphical user interface displayed when a t-PA table isselected

FIG. 9 is a graphical user interface displayed when a view images buttonis selected.

DETAILED DESCRIPTION

Disclosed is a robotic system that can be used to treat a patient. Therobotic system includes a mobile robot that has a camera. The mobilerobot is controlled by a remote station that has a monitor. A physiciancan use the remote station to move the mobile robot into view of apatient. An image of the patient is transmitted from the robot camera tothe remote station monitor. A medical personnel at the robot site canenter patient information into the system through a user interface. Thepatient information can stored in a server. The physician can access theinformation from the remote station. The remote station may providegraphical user interfaces that display the patient information andprovide a medical tool. By way of example, the remote station maypresent to the user a NIHSS questionnaire to determine the severity of astroke. The graphical user interfaces may include an interface thatprovides a patient management plan such as a calculated dosage. Themedical tool and dosage can be transmitted to the user interface so thatthis information can be viewed by medical personnel in physicalproximity to the patient. The system allows a clinical specialist toremotely observe and treat a patient. This is particularly advantageouswhen treating stroke patients, where time is critical.

Referring to the drawings more particularly by reference numbers, FIG. 1shows a robotic system 10. The robotic system 10 includes one or morerobots 12. Each robot 12 has a base station 14. The robot 12 is coupledto a remote control station 16. The remote control station 16 may becoupled to the base station 14 through a network 18. By way of example,the network 18 may be either a packet switched network such as theInternet, or a circuit switched network such has a Public SwitchedTelephone Network (PSTN) or other broadband system. The base station 14may be coupled to the network 18 by a modem 20 or other broadbandnetwork interface device. By way of example, the base station 14 may bea wireless router. Alternatively, the robot 12 may have a directconnection to the network thru for example a satellite.

The remote control station 16 may include a computer 22 that has amonitor 24, a camera 26, a microphone 28 and a speaker 30. The computer22 may also contain an input device 32 such as a joystick or a mouse.The control station 16 is typically located in a place that is remotefrom the robot 12. Although only one remote control station 16 is shown,the system 10 may include a plurality of remote stations. In general anynumber of robots 12 may be controlled by any number of remote stations16 or other robots 12. For example, one remote station 16 may be coupledto a plurality of robots 12, or one robot 12 may be coupled to aplurality of remote stations 16, or a plurality of robots 12.

Each robot 12 includes a movement platform 34 that is attached to arobot housing 36. The robot 12 may also have a camera 38, a monitor 40,a microphone(s) 42 and a speaker(s) 44. The microphone 42 and speaker 30may create a stereophonic sound. The robot 12 may also have an antenna46 that is wirelessly coupled to an antenna 48 of the base station 14.The system 10 allows a user at the remote control station 16 to move therobot 12 through operation of the input device 32. The robot camera 38is coupled to the remote monitor 24 so that a user at the remote station16 can view a patient. Likewise, the robot monitor 40 is coupled to theremote camera 26 so that the patient can view the user. The microphones28 and 42, and speakers 30 and 44, allow for audible communicationbetween the patient and the user.

The remote station computer 22 may operate Microsoft OS software andWINDOWS XP or other operating systems such as LINUX. The remote computer22 may also operate a video driver, a camera driver, an audio driver anda joystick driver. The video images may be transmitted and received withcompression software such as MPEG CODEC.

The system 10 may include a records server 50 that can be accessedthrough the network 18. Patient information can be provided to theserver 50 through a user interface 52. The user interface 52 may or maynot be in close proximity to the robot 12. For example, the userinterface may be a computer located at a nurses station whereinformation is entered when a patient checks into a facility. The robot12 can be moved into view of the patient so that patient information canbe entered into the system while a physician is viewing the patientthrough the robot camera. The physician can remotely move the robot toobtain different viewing angles of the patient. The user interface 52may be a separate computer terminal. Alternatively, the user interface52 may be integral with the robot. For example, the robot monitor may bea touch screen that allows a user to enter data into the system throughthe robot 12. The server 50 may contain other medical records of apatient such as written records of treatment, patient history,medication information, x-rays, EKGs, laboratory results, physiciannotes, etc.

The system 10 may also include an image server 54 and a registry server56. The image server 54 may include medical images. For example, themedical images may include CT scans of a patient's brain. The images canbe downloaded to one of the remote stations 14 through the network 18.The registry server 56 may store historical data on patients. Thehistorical data can be downloaded to a remote computer 16 through thenetwork 18.

FIGS. 2 and 3 show an embodiment of a robot 12. Each robot 12 mayinclude a high level control system 60 and a low level control system62. The high level control system 60 may include a processor 64 that isconnected to a bus 66. The bus is coupled to the camera 38 by aninput/output (I/O) port 68, and to the monitor 40 by a serial outputport 70 and a VGA driver 72. The monitor 40 may include a touchscreenfunction that allows a user to enter input by touching the monitorscreen.

The speaker 44 is coupled to the bus 56 by a digital to analog converter74. The microphone 42 is coupled to the bus 66 by an analog to digitalconverter 76. The high level controller 60 may also contain randomaccess memory (RAM) device 78, a non-volatile RAM device 80 and a massstorage device 82 that are all coupled to the bus 72. The mass storagedevice 82 may contain medical files of the patient that can be accessedby the user at the remote control station 16. For example, the massstorage device 82 may contain a picture of the patient. The user,particularly a health care provider, can recall the old picture and makea side by side comparison on the monitor 24 with a present video imageof the patient provided by the camera 38. The robot antennae 46 may becoupled to a wireless transceiver 84. By way of example, the transceiver84 may transmit and receive information in accordance with IEEE 802.11b.

The controller 64 may operate with a LINUX OS operating system. Thecontroller 64 may also operate MS WINDOWS along with video, camera andaudio drivers for communication with the remote control station 16.Video information may be transceived using MPEG CODEC compressiontechniques. The software may allow the user to send e-mail to thepatient and vice versa, or allow the patient to access the Internet. Ingeneral the high level controller 60 operates to control communicationbetween the robot 12 and the remote control station 16.

The high level controller 60 may be linked to the low level controller62 by a serial port 88. The low level controller 62 includes a processor90 that is coupled to a RAM device 92 and non-volatile RAM device 94 bya bus 96. Each robot 12 contains a plurality of motors 98 and motorencoders 100. The encoders 100 provide feedback information regardingthe output of the motors 98. The motors 98 can be coupled to the bus 96by a digital to analog converter 102 and a driver amplifier 104. Theencoders 100 can be coupled to the bus 86 by a decoder 106. Each robot12 may have a number of proximity sensors 108 (see also FIG. 1). Thesensors 108 can be coupled to the bus 96 by a signal conditioningcircuit 110 and an analog to digital converter 112.

The low level controller 62 runs software routines that mechanicallyactuate the robot 12. For example, the low level controller 62 providesinstructions to actuate the movement platform to move the robot 12. Thelow level controller 62 may receive movement instructions from the highlevel controller 60. The movement instructions may be received asmovement commands from the remote control station or another robot.Although two controllers are shown, it is to be understood that eachrobot 12 may have one controller, or more than two controllers,controlling the high and low level functions.

The various electrical devices of each robot 12 may be powered by abattery(ies) 114. The battery 114 may be recharged by a batteryrecharger station 116 (see also FIG. 1). The low level controller 62 mayinclude a battery control circuit 118 that senses the power level of thebattery 114. The low level controller 62 can sense when the power fallsbelow a threshold and then send a message to the high level controller60.

The system may be the same or similar to a robotic system provided bythe assignee InTouch Technology, Inc. of Santa Barbara, Calif. under thename RP-7, which is hereby incorporated by reference. The system mayalso be the same or similar to the system disclosed in U.S. Pat. No.7,292,912, which is hereby incorporated by reference.

FIG. 4 shows a graphical user interface 150 provided at the userinterface 52. The graphical user interface 150 includes a plurality ofdata fields 152 that can be filled by the user. The data fields 152 canrequest patient information such as name, age, etc. The data fields mayalso include request for medical data such as heart rate, glucose leveland blood pressure (“SBP” and “DBP”).

FIG. 5 shows a display user interface (“DUI”) 160 that can be displayedat the remote station 14. The DUI 160 may include a robot view field 162that displays a video image captured by the camera of the robot. The DUI160 may also include a station view field 164 that displays a videoimage provided by the camera of the remote station 14. The DUI 160 maybe part of an application program stored and operated by the computer 22of the remote station 14.

FIG. 6 shows a graphical user interface 170 that is displayed by themonitor of the remote station 16. The interface 170 includes a “PATIENTINFO” tab 172, a “NIHSS” tab 174 and a “t-PA” tab 176. Selection of thePATIENT INFO tab 172 displays various data fields 178 including patientname, age, weight, heart rate, etc. This may be the same informationthrough the user interface.

FIG. 7 shows an interface 180 when the “NIHSS” tab 174 is selected. Theinterface 180 has a data field 182 that provides a questionnaire to ratethe severity of a stroke victim using the NIHSS stroke scale. Thisprovides a readily available medical tool for the physician.

FIG. 8 shows an interface 190 when the “t-PA” tab 176 is selected. Theinterface 190 may include a data field 192 that provides the patient'sweight, a “TOTAL DOSE” data field 194, a “BOLUS DOSE” data field 196 andan “INFUSION DOSE” data field 198. The interface 190 may also include a“CALCULATE” button 200. When the CALCULATE button 182 is selected thedata fields 194, 196 and 198 are automatically populated with acalculated dosage. This provides a patient management plan for thephysician to review. The interfaces 170, 180 and 190 also have a “VIEWIMAGES” button 202 that when selected displays an interface 210 shown inFIG. 9. The interface 210 includes a data field 212 and an image field214. The image field 214 can provide a plurality of medical images suchas a CT scan of the patient's head.

The system is useful for allowing a physician to remotely view and treata stroke patient. The system provides patient information, NIHSS strokeseverity assessment, calculated t-PA dosage and CT head images thatallow the physician to provide real time remote patient treatment.

While certain exemplary embodiments have been described and shown in theaccompanying drawings, it is to be understood that such embodiments aremerely illustrative of and not restrictive on the broad invention, andthat this invention not be limited to the specific construction's andarrangements shown and described, since various other modifications mayoccur to those ordinarily skilled in the art.

What is claimed is:
 1. A robotic system, comprising: a network; atelepresence device in the vicinity of a patient and coupled to thenetwork, the telepresence device having a camera, a monitor, amicrophone, and a speaker, the telepresence device camera captures animage of the patient; a computer at a nurses station that displays auser interface, the user interface allows medical information to beentered by displaying a plurality of data fields that include at leastone patient information field and at least one medical data field thatare filled by a user at the computer, the computer is separate from thetelepresence device and is coupled to the network independently of thetelepresence device; and, a remote station located remotely from boththe telepresence device and the computer at the nurses station, theremote station is coupled to said telepresence device via the networkand controls the telepresence device, the remote station includes amonitor that displays a user interface including the image of thepatient, the patient information, the medical data provided by the userat the computer at the nurses station, and a graphical element that,when selected, displays an imaging interface that includes at least onemedical image.
 2. The system of claim 1, further comprising a recordsserver that is coupled to the remote station and the nurses computer andstores the medical information.
 3. The system of claim 1, furthercomprising an image server that is coupled to the remote station andstores the at least one medical image.
 4. The system of claim 1, whereinthe at least one medical image is a CT scan of the patient.
 5. Thesystem of 1, wherein the medical information includes patientstatistics.
 6. The system of claim 1, wherein the remote stationprovides a medical tool.
 7. The system of claim 5, wherein the medicaltool is a stroke evaluation.
 8. The system of 1, wherein the userinterface can receive information from an input device of the remotestation.
 9. The system of claim 1, wherein the user interface displays apatient management plan.
 10. A method for providing a remote medicalconsultation, the method comprising: capturing an image of a patientwith a a telepresence device that is coupled to a network and includes acamera, a monitor, a microphone, and a speaker; displaying a pluralityof data fields on a user interface of a computer at a nurses station,the computer is separate from the telepresence device and is coupled tothe network independently of the telepresence device; receiving medicalinformation from a user at the nurses station computer, the medicalinformation including at least one patient information field and atleast one medical data field that are filled by the user; controllingthe telepresence device via a remote station that is coupled to thenetwork; and displaying, on a monitor of the remote station, a userinterface including the image of the patient, the patient information,the medical data provided by the user at the computer at the nursesstation, and a graphical element that, when selected, displays animaging interface that includes at least one medical image.
 11. Themethod of claim 9, further comprising storing the medical information ata records server that is coupled to the network.
 12. The method of claim9, further comprising storing the at least one medical image at an imageserver that is coupled to the remote station.
 13. The method of claim 9,wherein the at least one medical image is a CT scan of the patient. 14.The method of 9, wherein the medical information includes patientstatistics.
 15. The method of claim 9, further comprising providing amedical tool via the remote station.
 16. The method of claim 13, whereinthe medical tool is a stroke evaluation.
 17. The method of 9, furthercomprising receiving information from an input device of the remotestation.
 18. The method of claim 9, further comprising displaying apatient management plan at the remote station.